| 920 Lobo Canyon Grants Professional, Llc | |
|
920 Lobo Canyon Rd Grants NM 87020-2173 | |
| (505) 722-4422 | |
| Not Available |
| Full Name | 920 Lobo Canyon Grants Professional, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 920 Lobo Canyon Rd, Grants, New Mexico |
| Authorized Official Name and Position | Peter Grumbos (DENTIST/OWNER) |
| Authorized Official Contact | 5057224422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 920 Lobo Canyon Grants Professional, Llc 920 Lobo Canyon Rd Grants NM 87020-2173 Ph: (505) 722-4422 | 920 Lobo Canyon Grants Professional, Llc 920 Lobo Canyon Rd Grants NM 87020-2173 Ph: (505) 722-4422 |
| NPI Number | 1477218964 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477218964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
A To Z Children's Dental Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E High St, Grants, NM 87020 Phone: 505-876-1065 | |
Patricia B. Valdivia D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Bonita St, Grants, NM 87020 Phone: 505-876-4034 Fax: 505-876-4036 | |
A To Z Childrens Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Bonita Ave Suite A, Grants, NM 87020 Phone: 505-285-3443 Fax: 505-287-3418 | |
Sundance Dental Care Of Grants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Lobo Canyon Rd, Grants, NM 87020 Phone: 505-722-4422 Fax: 505-722-2060 | |
Southwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln Ave, Grants, NM 87020 Phone: 505-287-2000 | |
Derrick Baca Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Bonita St, Grants, NM 87020 Phone: 505-876-4034 Fax: 505-876-4036 |